Certainly these "last enchantments of the Middle Ages" were slow to
depart. Clinical observation, anatomy, and pathology, had all failed
to bring about a right understanding of the actions of drugs. It was
the physiologists, not the doctors, who first formulated the exact use
of drugs; it was Bichat, Magendie, and Claude Bernard. That is the
whole meaning of Magendie's work on the upas-poison and on strychnine,
and Claude Bernard's work on curari and digitalis. Of these four
substances, two only are of any use in practice; yet Magendie's study
of strychnine[41] was of immeasurable value, not so much because it
gave the doctors a "more generous cardiac," though that was a great
gift, but because it revealed the _selective_ action of drugs.
Contrast his account of strychnine with Ambroise Paré's story how they
tested the bezoar-stone on the thief instead of hanging him; contrast
Bernard's chapter on curari with Dr. Scarbrugh's notes on the King's
death, with all the Crown jewels inside him: you are in two different
worlds. The _selective_ action of drugs--the affinity between
strychnine and the central nerve-cells, between curari and the
terminal filaments of the motor nerves--that was the revolutionary
teaching of science: and it came, not by experience, but by
experiment.
[41] For a full statement of the great value of this study of
strychnine, see Cl. Bernard, _Leçons de Physiologie Opératoire_,
1879, p. 89.
Take Professor Fraser's address on "The Action of Remedies, and the
Experimental Method" at the International Medical Congress in London,
1881:--
"The introduction of this method is due to Bichat; and, by its
subsequent application by Magendie, pharmacology was originated
as the science we now recognise. Bichat represents a transition
state, in which metaphysical conceptions were mingled with the
results of experience. Magendie more clearly recognised the
danger of adopting theories, in the existing imperfections of
knowledge; and devoted himself to the supplementing of these
imperfections by experiments on living animals. The advantages
of such experiments he early illustrated by his investigation on
the upas-poison; and afterwards by a research on the then
newly-discovered alkaloid, strychnia.... He demonstrated the
action of this substance upon the spinal cord, by experiments
upon the lower animals, so thoroughly, that subsequent
investigations have added but little to his results."
Or take Professor Fraser's account of digitalis:--
Public-domain text, read in full here on John Shaqi.
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